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BON SECOURS MERCY HEALTH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS MERCY HEALTH FOUNDATION (EIN 20-1072726)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349301500
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T09:00:09-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201072726EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH PARTNERS FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCATHNameControl
Phone5136392800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 Elsinore PlaceAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL BEZNEYName
TitleCHAIRTitle
Date Signed2013-11-08DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL BEZNEYBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1615 Elsinore PlaceAddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14420248GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEALTH-PARTNERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE OPERATION OF CATHOLIC HEALTH PARTNERS BY ENCOURAGING CHARITABLE GIVING AND EFFECTIVELY MANAGING GIFT RESOURCES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2819509ContributionsGrantsPriorYear
Contributions Grants Current Year13559917ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year275384InvestmentIncomePriorYear
Investment Income Current Year747048InvestmentIncomeCurrentYear
Other Revenue Prior Year83515OtherRevenuePriorYear
Other Revenue Current Year62110OtherRevenueCurrentYear
Total Revenue Prior Year3178408TotalRevenuePriorYear
Total Revenue Current Year14369075TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3809244GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6284278GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year60600OtherExpensePriorYear
Other Expenses Current Year75809OtherExpensesCurrentYear
Total Expenses Prior Year3869844TotalExpensesPriorYear
Total Expenses Current Year6360087TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-691436RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8008988RevenuesLessExpensesCY
Total Assets BOY15334768TotalAssetsBOY
Total Assets EOY24546692TotalAssetsEOY
Total Liabilities BOY436916TotalLiabilitiesBOY
Total Liabilities EOY596273TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14897852NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23950419NetAssetsOrFundBalancesEOY
Mission DescriptionTO CARRY OUT THE CHARITABLE AND EDUCATIONAL PURPOSES OF CATHOLIC HEALTH PARTNERS (CHP) BY PROVIDING GRANTS IN SUPPORT OF PROGRAMS THAT CARRY OUT THE CHARITABLE MISSION OF CHP.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6284278Expense
Grants6284278Grants
DescriptionCATHOLIC HEALTH PARTNERS FOUNDATION AWARDED $6,284,278 IN GRANTS DURING 2012 TO PROGRAMS THAT ADDRESS THE HEALTHCARE NEEDS OF PERSONS WHO ARE POOR AND UNDERSERVED.Description
Total Program Service Expense6284278TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TRAVIS CRUMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5136392800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1615 ELSINORE PLACEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
MICHAEL BEZNEY
CHAIR, CHP SVP & GENERAL COUNSEL1.0051.80XX0738716111134
MICHAEL D CONNELLY JD
PRESIDENT, PRESIDENT & CEO-CHP1.0050.00XX0200573556056
SR MARJORIE BOSSE RSM
VICE CHAIRPERSON1.002.40XX000
ANTHONY WERNER
TRUSTEE, PRESIDENT - SVMMC FOUNDATION1.0052.00X017348439020
JEROME JUDD
TRUSTEE, VP TREASURY - CHP1.0050.00X037194092773
SR DORIS A GOTTEMOELLER RSM
TRUSTEE, SVP MISSION & VALUES-CHP1.0040.00X000
SR MARIE HARTMANN
TRUSTEE1.000X000
TODD LINDLEY
TRUSTEE, PRESIDENT - MERCY FOUNDATION1.0040.00X025162437698
WILLIAM KUSNIERZ
Trustee, INTERIM CFO - MHP LOURDES, INC.1.0050.00X032366719483
DEBORAH BLOOMFIELD
FORMER OFFICER0.0043.00049100281153X
DEIRDRE BELUAN
FORMER OFFICER0.000017678126052X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4532949TotalReportableCompFrmRltdOrgs
Total Other Compensation463369TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events75630FundraisingEvents
Related Organizations13420000RelatedOrganizations
All Other Contributions64287AllOtherContributions
Total Contributions13559917TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column222952TotalRevenueColumn
Exclusion$222,952ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities524096Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities524096Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column524096TotalRevenueColumn
Exclusion$524,096ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events113283GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events75630CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses51173FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column62110TotalRevenueColumn
Exclusion$62,110ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14369075TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$809,158ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6270416Total
Program Services6270416ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total13862Total
Program Services13862ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69958Total
Program Services0ProgramServices
Management And General69958ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHERDescription
Total5851Total
Management And General5851ManagementAndGeneral

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6360087Total
Program Services6284278ProgramServices
Management And General75809ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-263267BOY
EOY173309EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY232500BOY
EOY285000EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY66780BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15298755BOY
EOY24088383EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15334768BOY
EOY24546692EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY436916BOY
EOY596273EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY436916BOY
EOY596273EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14897852BOY
EOY23949419EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY1000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14897852BOY
EOY23950419EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15334768BOY
EOY24546692EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8008988ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1042579ReconciliationUnrealizedInvest
Reconcilation Other Changes1000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH PARTNERSBusinessNameLine1
FieldValueIRS element (for citing)
EIN311131086EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$3,762,973Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts3762973SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$10,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB10000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE CATHOLIC HEALTH PARTNER'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT THE CHP HEALTHCARE SYSTEM. CHP FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND ITS HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES CHP SERVES. TO CARRY OUT THESE EFFORTS, CHP PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE CHP FACILITIES WHERE THEY ARE TREATED. GRANTS PAID TO OTHER ORGANIZATIONS OF $10,000 CONSTITUTE ISSUE-BASED LOBBYING SUPPORT.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCATHOLIC HEALTH PARTNERS INVESTMENT MANAGEMENT PROGRAMDescription
Book Value24088383BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities24088383TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE COMPANY (CATHOLIC HEALTH PARTNERS AND AFFILIATED ENTITIES) COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AT DECEMBER 31, 2012 AND 2011, AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1188913GrossReceiptsEvent1
Charitable Contributions Event175630CharitableContributionsEvent1
Gross Revenue Event1113283GrossRevenueEvent1
Other Direct Expenses Event151173OtherDirectExpensesEvent1
Gross Revenue Event20GrossRevenueEvent2
Gross Revenue Other Events0GrossRevenueOtherEvents
Gross Receipts Total188913GrossReceiptsTotal
Charitable Contributions Total75630CharitableContributionsTotal
Gross Revenue Total Events113283GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events51173OtherDirectExpensesTotalEvents
Direct Expense Summary Events51173DirectExpenseSummaryEvents
Net Income Summary62110NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (43 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
COMMUNITY HEALTH PARTNERS
3700 KOLBE ROADLORAINOH44053340714704501(C)(3)250000RESOURCE MOTHERS PROGRAM AND PARISH NURSE
CATHOLIC RELIEF SERVICES
228 WEST LEXINGTON STREETBALTIMOREMD21201135563422501(C)(3)165000REBUILD ST FRANCIS DE SALES IN HAITE
MERCY ST VINCENT MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250501(C)(3)150000REVITALIZE CHERRY STREET
UNITED WAY OF GREATER CINCINNATI
400 READING ROADCINCINNATIOH45202310537502501(C)(3)184000RETREAT AND CONFERENCE CENTER OF BON SECOURS. MISSION SUPPORT.
STRATEGIES TO END HOMELESSNESS
2368 VICTORY PARKWAY STE 600CINCINNATIOH45206208288347501(C)(3)100000SUPPORTING LOCAL SHELTER IMPROVEMENTS
HMHP FOUNDATION
250 DEBARTOLO PLACE STE 2560YOUNGSTOWNOH44512341826978501(C)(3)90000HMHP AUSTINTOWN FAMILY HEALTH CTR PT CENTERED MEDICAL HOME
XAVIER LEADERSHIP CENTER
2800 VICTORY PARKWAYCINCINNATIOH45207310537516501(C)(3)80000CHP NURSING SCHOLORSHIP PROGRAM
URBAN LEAGUE OF GREATER CINCINNATI
3458 READING ROADCINCINNATIOH45229310565428501(C)(3)55000CORPORATE HERITAGE SPONSORSHIP
COMMUNITY MERCY HEALTH PARTNERS
1 SOUTH LIMESTONE STREET STE 700SPRINGFIELDOH45502310785684501(C)(3)50000MERCY WELL CHILD PROGRAM
MARCUM & WALLACE MEMORIAL HOSPITAL
60 MERCY COURTIRVINEKY40336610927491501(C)(3)50000NEW HELIPAD ON THE HOSPITAL CAMPUS
NATIONAL UNDERGROUND RAILROAD FREEDOM CENTER
50 FREEDOM WAYCINCINNATIOH45202311436217501(C)(3)70000EXHIBIT SPONSOR AND MISSION SUPPORT
CATHOLIC CHARITIES OF SOUTHWESTERN OHIO
140 NORTH 5TH STREETHAMILTONOH45011310536968501(C)(3)50000MISSION SUPPORT
NATIONAL ASSOC OF HEALTH SERVICE EXECUTIVES
1050 CONNECTICUT AVE NWWASHINGTONDC20036621312239501(C)(3)50000PLATINUM SPRONSOR FOR CASE COMPETITION10TH FLOOR
NETWORK (A NATIONAL CATHOLIC SOCIAL JUSTICE LOBBY)
25 EAST STREET NW STE 200WASHINGTONDC20001520895622501(C)(3)40000MISSION SUPPORT
HEALTH IMPROVEMENT COLLABORATIVE
2649 ERIE AVENUECINCINNATIOH45208311449807501(C)(3)40000MISSION SUPPORT
ACCESS HEALTH MAHONING VALLEY
418 MAIN AVENUE SWWARRENOH44481274576650501(C)(3)37500MISSION SUPPORT
DEPAUL CHRISTO REY HIGH SCHOOL
1133 CLIFTON HILLS AVENUECINCINNATIOH45220273599335501(C)(3)27000SPONSOR WORK STUDY PROGRAM
CINCINNATI USA REGIONAL CHAMBER FOUNDATION
300 CAREW TOWER 441 VINE STREETCINCINNATIOH45202237089617501(C)(3)25000MISSION SUPPORT
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003610600313501(C)(3)25000KID'S CARDIAC PROGRAM
MOTHER OF MERCY HIGH SCHOOL
3036 WERK ROADCINCINNATIOH45211311578537501(C)(3)25000WOMEN IN MEDICINE PROGRAM
HUMILTY OF MARY HOUSING PROGRAM
3250 WEST MARKET ST STE 204FAIRLAWNOH44333251592420501(C)(3)25000SIGNATURE SPONSOR AT GALA
SOCIETY OF ST VINCENT DE PAUL
1125 BANK STREETCINCINNATIOH45214310537510501(C)(3)20000CHARITABLE PHARMACY
GREATER CINCINNATI CENTER FOR ECONOMIC EDUCATION
PO BOX 210223CINCINNATIOH45521310898481501(C)(3)29500FUND ECONOMIC IMPACT STUDIES
THE AMBERCRUMBIE GROUP
10301 GIVERNY BOULEVARDCINCINNATIOH4524130052018720000MEN OF HONOR PROGRAM. DIVERSITY SYMPOSIUM.
MERCY NEIGHBORHOOD MINISTRIES
1602 MADISON RDCINCINNATIOH45206311376693501(C)(3)15000MISSION SUPPORT
WHO'S WHO PUBLISHING CO
1801 WATERMARK DRIVECOLUMBUSOH4321526416319815000SUPPORT FOR WHO'S WHO IN BLACK CINCINNATI PROGRAM
MIGRANT HEALTH PROMOTION
437 SOUTH TEXAS BLVDWESLACOTX78596383092194501(C)(3)15000MISSION SUPPORT
FREDERICK DOUGLASS SCHOOL
2627 PARK AVENUECINCINNATIOH45206316000758501(C)(3)13561SUPPORT FREDERICK DOUGLASS SCHOOL PROGRAMS
CENTER FOR CLOSING THE HEALTH GAP
3120 BURNET AVENUE STE 20CINCINNATIOH45229200902286501(C)(3)12500SUPPORT HEALTH EXPO
CATHOLIC MEDICAL MISSION BOARD INC
10 WEST 17TH STREETNEW YORKNY10011135602319501(C)(3)10000MISSION SUPPORT
THE CINCINNATI MUSEUM ASSOCIATION
953 EDEN PARKCINCINNATIOH45202310536653501(C)(3)10000MISSION SUPPORT
CINCINNATI CHAMBER ORCHESTRA
105 WEST 4TH STREET STE 810CINCINNATIOH45202310865998501(C)(3)10000PINNACLE AWARD GALA
FOLDS OF HONOR FOUNDATION
5800 NORTH PATRIOT DRIVEOWASSOOK74055753240683501(C)(3)10000MISSION SUPPORT
HONOR FLIGHT TRISTATE
8627 CALUMET WAYCINCINNATIOH45249202751460501(C)(3)10000MISSION SUPPORT
WORLD CHOIR GAMES 2012
525 VINE ST STE 1500CINCINNATIOH45202272305710501(C)(3)10000MISSION SUPPORT
AMERICAN HEART ASSOCIATION
5455 NORTH HIGH STREETCOLUMBUSOH43214135613797501(C)(3)10000CINCINNATI HEART MINI MARATHON SPONSOR
HEALTH POLICY INSTITUTE OF OHIO
37 WEST BRAOD STREET STE 350COLUMBUSOH43215300186863501(C)(3)10000LEAD SPONSOR OF COVERAGE AND BEYOND WITH HPIO
ZOOLOGICAL SOCIETY OF CINCINNATI
3400 VINE STREETCINCINNATIOH45220310537171501(C)(3)7500ZOOFARI ENTERTAINMENT SPONSOR
ARTSWAVE
20 EAST CENTRAL PARKWAY STE 200CINCINNATIOH45202310537138501(C)(3)6000HOPE & POSSIBLITY 5K RUN/WALK
CATHOLIC INNER CITY SCHOOLS EDUCATION FUND
100 EAST 8TH STREETCINCINNATIOH45202310538501501(C)(3)6000CATHOLIC INNER-CITY SCHOOLS CAMPAIGN
USO TRUBUTE CINCINNATI
9959 HUMPHREY ROADCINCINNATIOH45242530204665501(C)(3)5600USO TRIBUTE DINNER SUPPORT
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501340505560501(C)(3)35000RISEN PROGRAM COSTS
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202311131086501(C)(3)3762973BEHAVIORAL HEALTH,DIVERSITY, MEDICAL HOME DEVELOPMENT, AND HOSC INITIATIVES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants41TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantWE CARE GRANTS (EMPLOYEE HARDSHIP GRANTS)TypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant13862AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationANY ORGANIZATION RECEIVING FUNDS OVER $5,000 MUST COMPLETE AN ACCOMPANIED "VERIFICATION OF USE OF A GRANT OR OTHER ASSISTANCE FROM THE CATHOLIC HEALTH PARTNERS (CHP) FOUNDATION" FORM. ORGANIZATIONS SIGNING THE FORM "ATTEST THAT THE GRANT/ASSISTANCE PROVIDED BY THE CHP FOUNDATION IS BEING USED FOR THE PURPOSE INTENDED AS STATED IN OUR REQUEST TO THE FOUNDATION AND THAT ADDITIONAL DOCUMENTATION TO SUPPORT USAGE OF THE GRANT/ASSISTANCE AS STATED WILL BE PROVIDED TO THE CHP FOUNDATION UPON REQUEST." THE VERIFICATION FROM MUST BE SUBMITTED WITHIN 30 DAYS OF RECEIVING THE GRANT OR ASSISTANCE. SECOND NOTICES ARE SENT IF THE FORM IS NOT RETURNED WITHIN THE ALLOCATED TIMEFRAME. NO ADDITIONAL GRANT OR ASSISTANCE WILL BE PROVIDED UNTIL THE FORM IS SIGNED AND RETURNED TO THE CATHOLIC HEALTH PARTNERS FOUNDATION. CHP WILL ASK CHAN TO ASSIST THE FOUNDATION IN ENSURING THAT ALL NOTIFICATIONS ARE TIMELY RECEIVED, COMPLETED IN AN ACCEPTABLE MANNER, AND RESPONDED TO WITH APPROPRIATE FOLLOW UP REQUESTS WHERE WARRANTED. WHEN THE FOUNDATION SUPPORTS A CHP INITIATIVE, THE MANAGER OF THE INITIATIVE IS EXPECTED TO ATTEND A FOUNDATION BOARD MEETING ANNUALLY IN-PERSON DURING THE COURSE OF THE FOUNDATION'S SUPPORT FOR THE INITIATIVE. THIS ATTENDANCE IS TO REPORT THE CURRENT YEAR'S STATUS OF THE INITIATIVE, AND PLANS FOR THE FOLLOWING YEAR IF THE FOUNDATION IS BEING ASKED TO CONTINUE SUPPORT OR HAS ALREADY MADE A MULTI-YEAR COMMITMENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY WERNER
TRUSTEE, PRESIDENT - SVMMC FOUNDATION01678490005635019564019456021250400
DEBORAH BLOOMFIELD
FORMER OFFICER0400914079965010123067325013828057215500
DEIRDRE BELUAN
FORMER OFFICER01428820335600339013080012972020283300
JEROME JUDD
TRUSTEE, VP TREASURY - CHP0295765057965018210068520024253046471300
MICHAEL BEZNEY
CHAIR, CHP SVP & GENERAL COUNSEL039843901670740173203083936027198084985000
MICHAEL D CONNELLY JD
PRESIDENT, PRESIDENT & CEO-CHP01104525049657604046340200000360560206179100
TODD LINDLEY
TRUSTEE, PRESIDENT - MERCY FOUNDATION020240203698501223702988607812028932200
WILLIAM KUSNIERZ
TRUSTEE, INTERIM CFO - MHP LOURDES, INC.0203231010193801849801640303080034315000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3CATHOLIC HEALTH PARTNERS FOUNDATION RELIES UPON CATHOLIC HEALTH PARTNERS TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. CATHOLIC HEALTH PARTNERS UTLIZED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE CHP SERP PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATES. IT PROVIDES ANNUAL CREDITS OF A SPECIFICED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST 50%, 75%, AND 100% IN THEIR ACCOUNTS AFTER 5, 6, AND 7 YEARS OF SERVICE, RESPECTFULLY. VESTING OCCURS EARLIER FOR DEATH OR TOTAL DISABILITY OR REACHING AGE 60 WHILE EMPLOYED, OR INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHNAGE IN CONTROL OF THE ORGANIZATION OR DUE TO POSITION ELIMIATION. PAYMENTS DURING EMPLOYMENT ARE MADE FOR REQUIRED TAX WITHHOLDINGS. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS AFTER TERMINATION OF EMPLOYMENT. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL CONNELLY $369,986; MICHAEL BEZNEY $147,814.
TERMS AND CONDITIONS OF CHP 457(F) EXECUTIVE RETENTION PLANSCHEDULE J, PART I, LINE 4BTHE CHP EXECUTIVE RETENTION PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION AND ANNUAL INTEREST CREDITS. PARTICIPANTS VEST AND CEASE TO RECEIVE CREDITS AFTER 5 YEARS OF PLAN PARTICIPATION PROVIDED THEY REMAIN EMPLOYED. VESTING AND CESSATION OF CREDITS OCCUR EARLIER FOR DEATH OR TOTAL DISABILITY WHILE EMPLOYED, INVOLUNTARY TERMINATION OF EMPLOYMENT WITHIN 24 MONTHS AFTER A CHANGE IN CONTROL OF THE ORGANIZATION, OR, FOR CERTAIN PARTICIPANTS, UPON BEING OFFERED A SPECIFIED PROMOTION. PAYMENT OF THE VESTED ACCOUNT BALANCE IN A LUMP SUM OCCURS UPON VESTING. AMOUNTS INCLUDABLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO RETENTION PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: MICHAEL BEZNEY $0; JEROME JUDD $0.
TERMS AND CONDITIONS OF THE MHPSWO EXECUTIVE BENEFIT PLANSCHEDULE J, PART I, LINE 4BTHE MERCY HEALTH PARTNERS OF SOUTHWEST OHIO EXECUTIVE BENEFIT PLAN IS A DEFERRED COMPENSATION PLAN WHICH PROVIDES EMPLOYMENT CONTINUATION INCENTIVES TO ALL EXECUTIVE COUNCIL MEMBERS. IT PROVIDES ANNUAL CREDITS OF A SPECIFIED PERCENTAGE OF COMPENSATION. A BENEFIT IS CALCULATED FOR ANY INDIVIDUAL WHOSE COMPENSATION IS LIMITED IN THE QUALIFIED CASH BALANCE PLAN DUE TO INCOME WHICH EXCEEDS THE IRS MAXIMUM. THE BENEFIT IS BASED UPON FORM W-2 COMPENSATION AND IS EQUAL TO THE AMOUNT EXCLUDED FROM THE QUALIFIED PLAN. PARTICIPANTS MUST COMPLETE A TWO TIERED VESTING PROVISION. PARTICIPANTS MUST BE VESTED UNDER THE BASE QUALIFIED PLAN AND MUST COUNT 24 MONTHS AFTER TERMINATION DURING WHICH THEY DO NOT COMPETE WITH MERCY HEALTH PARTNERS OF SOUTHWEST OHIO. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED INDIVIDUALS DUE TO EXECUTIVE BENEFIT PLAN PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: DEBORAH BLOOMFIELD $0; TODD LINDLEY $0.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6CATHOLIC HEALTH PARTNERS (CHP) IS THE MEMBER OF CATHOLIC HEALTH PARTNERS FOUNDATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCATHOLIC HEALTH PARTNERS APPROVES MEMBERS THAT ARE APPOINTED TO THE BOARD OF TRUSTEES. ALL MEMBERS OF THE BOARD OF TRUSTEES HAVE FULL VOTING RIGHTS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN MATTERS REQUIRE APPROVAL OF THE CHP CORPORATE MEMBER, CHP GOVERNING BODY, OR CHP CEO. THE REGULATIONS OF THE ORGANIZATION DESCRIBE THE LEVEL OF APPROVAL REQUIRED FOR VARIOUS DECISIONS.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS PREPARED BY THE CHP TAX DEPARTMENT AND REVIEWED BY MANAGEMENT. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE FOR APPROVAL. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION RELATED DISCLOSURES. BOTH THE AUDIT & CORPORATE RESPONSIBILITY COMMITTEE AND THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE FILING ORGANIZATION. ONCE THE FORM 990 IS REVIEWED AND APPROVED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cALL BOARD MEMBERS ARE COVERED BY THE CATHOLIC HEALTH PARTNERS (CHP) CONFLICT OF INTEREST POLICY, WHICH REQUIRES DISCLOSURE ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CHP CORPORATE COMPLIANCE OFFICER. AT THE BEGINNING OF EACH BOARD MEETING ALL BOARD MEMBERS ARE REQUESTED TO DISCLOSE ANY CONFLICTS OF INTEREST. BOARD MEMBERS DETERMINED TO HAVE A CONFICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISION-MAKING FOR THE TRANSACTION IN WHICH THE CONFLICT EXISTS.
DETERMINING THE COMPENSATION OF THE TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15ATHE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS DETERMINED BY CATHOLIC HEALTH PARTNERS, A RELATED TAX-EXEMPT ORGANIZATION.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS POSTED ON THE CATHOLIC HEALTH PARTNERS WEBSITE.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - 1000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (82 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CATHOLIC HEALTH PARTNERS
615 ELSINORE PLACECINCINNATIOH45202HEALTHCARE SYSTEM PARENTOH501(C)(3)11 - Type III - FINAfalse
CATHOLIC HEALTH PARTNERS FOUNDATION
615 ELSINORE PLACECINCINNATIOH45202FUNDRAISINGOH501(C)(3)7CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS HOUSING DEVELOPMENT
615 ELSINORE PLACECINCINNATIOH45202HUD PARENTOH501(C)(3)9CATHOLIC HEALTH PARTNERSfalse
CATHOLIC HEALTHCARE PARTNERS RETIREMENT TRUST
615 ELSINORE PLACECINCINNATIOH45202RETIREMENT TRUSTOH501(C)(3)8CATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEM
3700 KOLBE ROADLORAINOH44053REGIONAL PARENTOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERSfalse
COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTER
3700 KOLBE ROADLORAINOH44053HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
ALLEN MEDICAL CENTER
200 WEST LORAIN STOBERLINOH44074HOSPITALOH501(C)(3)3COMMUNITY HEALTH PARTNERS REGIONAL HEALTH SYSTEMfalse
COMMUNITY HEALTH PARTNERS REGIONAL FOUNDATION
3700 KOLBE ROADLORAINOH44053FOUNDATIONOH501(C)(3)11 - Type III - FICOMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053MEDICAL OFFICE RENTALOH501(C)(3)9COMMUNITY HEALTH PARTNERS REGIONAL MEDICAL CENTERfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIALLEN MEDICAL CENTERfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO
4600 MCAULEY PLACECINCINNATIOH45242REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS OF SOUTHWEST OHIO FOUNDATION
4600 MCAULEY PLACECINCINNATIOH45242FOUNDATIONOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITALS WEST
2446 KIPLING AVENUECINCINNATIOH45239HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY HOSPITAL ANDERSON
7500 STATE ROADCINCINNATIOH45255HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF HAMILTON OHIO
3000 MACK ROADFAIRFIELDOH45014HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
THE SISTERS OF MERCY OF CLERMONT COUNTY OHIO
3000 HOSPITAL DRIVEBATAVIAOH45103HOSPITALOH501(C)(3)3MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227RETIREMENT HOMEOH501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY SACRED HEART INC
2120 PAYNE STREETLOUISVILLEKY40206RETIREMENT HOMEKY501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY LONG TERM CARE INITIATIVE
4915 CHARLESTOWN RDNEW ALBANYIN47150RETIREMENT HOMEIN501(C)(3)9MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210LOW INCOME HOUSINGOH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
MERCY FRANCISCAN AT ST RAPHAEL INC
610 HIGH STREETHAMILTONOH45011SERVICES TO THE POOROH501(C)(3)7MERCY HEALTH PARTNERS OF SOUTHWEST OHIOfalse
COMMUNITY MERCY HEALTH SYSTEM
ONE S LIMESTONE STSPRINGFIELDOH45502REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
COMMUNITY MERCY HEALTH PARTNERS
ONE S LIMESTONE STSPRINGFIELDOH45502HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
THE COMMUNITY MERCY FOUNDATION
1343 N FOUNTAIN BLVDSPRINGFIELDOH45504FOUNDATIONOH501(C)(3)7COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
ONE S LIMESTONE STSPRINGFIELDOH45502HOSPITALOH501(C)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
CLARKE & CHAMPAIGN COUNTIES HEALTH INFORMATION EXCHANGE
1150 E HOME ROADSPRINGFIELDOH45503MEDICAL INFORMATION EXCHANGEOH501(C)(3)9COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
ONE S LIMESTONE STSPRINGFIELDOH45502INDIGENT MEDICAL CAREOH501(C)(3)11 - Type INAfalse
MERCY HEALTH SYSTEM - NORTHERN REGION
2200 JEFFERSON AVENUETOLEDOOH43604REGIONAL PARENTOH501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604TITLE HOLDING COMPANYOH501(C)(2)N/AMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST CHARLES MERCY HOSPITAL OF OREGON OHIO
2600 NAVARRE AVENUEOREGONOH43616HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST CHARLES MERCY HEALTH FOUNDATION
2600 NAVARRE AVENUEOREGONOH43616FOUNDATIONOH501(C)(3)11 - Type III - FIST CHARLES MERCY HOSPITAL OF OREGON OHIOfalse
RIVERSIDE MERCY HOSPITAL
3404 W SYLVANIA AVETOLEDOOH43623HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOME CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604HOME HEALTHCAREOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604MEDICAL COLLEGEOH501(C)(3)2MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY COLLEGE OF OHIO FOUNDATION INC
2221 MADISON AVENUETOLEDOOH43604FOUNDATIONOH501(C)(3)11 - Type IMERCY COLLEGE OF OHIOfalse
MERCY HOSPITAL OF TIFFIN OHIO
45 ST LAWRENCE DRIVETIFFINOH44883HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY TIFFIN HEALTH FOUNDATION
45 ST LAWRENCE DRIVETIFFINOH44883FOUNDATIONOH501(C)(3)11 - Type III - FIMERCY HOSPITAL OF TIFFIN OHIOfalse
THE SISTERS OF MERCY OF WILLARD OHIO
110 EAST HOWARD STWILLARDOH44890HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
MERCY HOSPITAL OF WILLARD FOUNDATION
110 EAST HOWARD STWILLARDOH44890FOUNDATIONOH501(C)(3)11 - Type III - FITHE SISTERS OF MERCY OF WILLARD OHIOfalse
ST VINCENT MERCY MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST VINCENT MERCY MEDICAL CENTER FOUNDATION
2213 CHERRY STREETTOLEDOOH43608FOUNDATIONOH501(C)(3)11 - Type III - FIST VINCENT MERCY MEDICAL CENTERfalse
LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUETOLEDOOH43604MEDICAL TRANSPORTATIONOH501(C)(3)11 - Type IIMERCY HEALTH SYSTEM - NORTHERN REGIONfalse
RSM MEDICAL FOUNDATION
2200 JEFFERSON AVENUETOLEDOOH43624HOSPITALOH501(C)(3)3MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST MARGUERITE D'YOUVILLE FOUNDATION II
2213 CHERRY STREETTOLEDOOH43608FOUNDATIONOH501(C)(3)11 - Type IICATHOLIC HEALTH PARTNERSfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616MEDICAL OFFICE RENTALOH501(C)(3)11 - Type IIST CHARLES MERCY HOSPITAL OF OREGON OHIOfalse
FARLEY HEALTHCARE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604HEALTH SERVICESOH501(C)(3)9MERCY HEALTH SYSTEM - NORTHERN REGIONfalse
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
SRHC FOUNDATION
730 W MARKET STREETLIMAOH45801FOUNDATIONOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801MEDICAL LAB SERVICESOH501(C)(3)11 - Type III - FIST RITA'S MEDICAL CENTERfalse
HUMILITY OF MARY HEALTH PARTNERS
1044 BELMONT AVENUEYOUNGSTOWNOH44501HOSPITALOH501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512HOSPICE SERVICESOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY OF MARY DEVELOPMENT FOUNDATION
1044 BELMONT AVENUEYOUNGSTOWNOH44501FOUNDATIONOH501(C)(3)11 - Type III - FIHUMILITY OF MARY HEALTH PARTNERSfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
LAUREL LAKE RETIREMENT COMMUNITY INC
200 LAUREL LAKE DRIVEHUDSONOH44236NURSING HOMEOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
LAUREL LAKE RETIREMENT COMMUNITY FOUNDATION INC
200 LAUREL LAKE DRIVEHUDSONOH44236FOUNDATIONOH501(C)(3)7LAUREL LAKE RETIREMENT COMMUNITY INCfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484FUNDRAISINGOH501(C)(3)9HUMILITY OF MARY HEALTH PARTNERSfalse
MERCY HEALTH PARTNERS - LOURDES INC
1530 LONE OAK ROADPADUCAHKY42003HOSPITALKY501(C)(3)3CATHOLIC HEALTH PARTNERSfalse
LOURDES FOUNDATION INC
1530 LONE OAK ROADPADUCAHKY42003FOUNDATIONKY501(C)(3)7MERCY HEALTH PARTNERS - LOURDES INCfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003FUNDRAISINGKY501(C)(3)11 - Type III - FILOURDES FOUNDATION INCfalse
MARCUM AND WALLACE MEMORIAL HOSPITAL INC
60 MERCY COURTIRVINEKY40336HOSPITALKY501(C)(3)3MERCY HEALTH PARTNERS - LOURDES INCfalse
MARCUM AND WALLACE HOSPITAL FOUNDATION INC
60 MERCY COURTIRVINEKY40336FOUNDATIONKY501(C)(3)11 - Type III - FIMARCUM AND WALLACE MEMORIAL HOSPITAL INCfalse
MERCY HEALTH PARTNERS INC
900 EAST OAK HILL AVEKNOXVILLETN37917REGIONAL PARENTTN501(C)(3)11 - Type ICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTH SYSTEM INC
900 EAST OAK HILL AVEKNOXVILLETN37917HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
ST MARY'S MEDICAL CENTER OF CAMPBELL COUNTY INC
923 EAST CENTRAL AVELAFOLLETTETN37766HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
MERCY HEALTH PARTNERS FOUNDATION INC
900 EAST OAK HILL AVEKNOXVILLETN37917FOUNDATIONTN501(C)(3)7MERCY HEALTH PARTNERS INCfalse
JEFFERSON MEMORIAL HOSPITAL INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
JEFFERSON MEMORIAL FOUNDATION INC
110 HOSPITAL DRIVEJEFFERSON CITYTN37760FOUNDATIONTN501(C)(3)11 - Type III - FIJEFFERSON MEMORIAL HOSPITAL INCfalse
ST MARY'S MEDICAL CENTER OF SCOTT COUNTY INC
18797 ALBERTA STREETONEIDATN37841HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
BAPTIST HOSPITAL OF EAST TENNESSEE INC
137 BLOUNT AVEKNOXVILLETN37920HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
BAPTIST HOSPITAL OF COCKE COUNTY INC
435 SECOND STREETNEWPORTTN37821HOSPITALTN501(C)(3)3MERCY HEALTH PARTNERS INCfalse
MERCY HEALTH PARTNERS - NORTHEAST REGION INC
746 JEFFERSON AVENUESCRANTONPA18510REGIONAL PARENTPA501(C)(3)11 - Type III - FICATHOLIC HEALTH PARTNERSfalse
MERCY HEALTHCARE FOUNDATION
746 JEFFERSON AVENUESCRANTONPA18510FOUNDATIONPA501(C)(3)11 - Type III - FIMERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HOSPITAL SCRANTON PA
746 JEFFERSON AVENUESCRANTONPA18510HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY COMMUNITY CARE CORPORATION
746 JEFFERSON AVENUESCRANTONPA18510MEDICAL CAREPA501(C)(3)9MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY MED-CARE INC
746 JEFFERSON AVENUESCRANTONPA18510HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HOSPITAL NANTICOKE
128 W WASHINGTON STNANTICOKEPA18634HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HOSPITAL OF WILKES-BARRE
746 JEFFERSON AVENUESCRANTONPA18510HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY HEALTH CARE CENTER
746 JEFFERSON AVENUESCRANTONPA18510HOSPITALPA501(C)(3)3MERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY TYLER HEALTH SYSTEMS
880 SR 6WTUNKHANNOCKPA18657SUPPORTING ORGPA501(C)(3)11 - Type IIMERCY HEALTH PARTNERS - NORTHEAST REGION INCfalse
MERCY TYLER HOSPITAL
880 SR 6WTUNKHANNOCKPA18657HOSPITALPA501(C)(3)3MERCY TYLER HEALTH SYSTEMSfalse
MERCY TYLER HOME HEALTH SERVICES
880 SR 6WTUNKHANNOCKPA18657IN-HOME MEDICAL CAREPA501(C)(3)9MERCY TYLER HEALTH SYSTEMSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
NWO INTEGRATED LABORATORIES MERCY LLC
2200 JEFFERSON AVENUETOLEDOOH43624341898285LABORATORY SERVICESOHNAN/A
TIFFIN AMBULATORY SURGICAL ASSOCIATES
45 ST LAWRENCE DRIVETIFFINOH44833371567866AMBULATORY SURGERY CENTEROHNAN/A
MERCY HOSPITAL OF DEFIANCE LLC
1404 E SECOND STDEFIANCEOH43512020701635HOSPITALOHNAN/A
WEST CENTRAL OHIO SURGERY & ENDO CENTER
770 W HIGH ST SUITE 100LIMAOH45801341868154AMBULATORY SURGERY CENTEROHNAN/A
NEW VISION MEDICAL LAB LLC
750 W HIGH STREETLIMAOH45801341913433LAB SERVICESOHNAN/A
WEST CENTRAL OHIO GROUP LTD
801 MEDICAL DRIVELIMAOH45804341848147ORTHOPEDIC HOSPITALOHNAN/A
KIDNEY SERVICES OF WEST CENTRAL OHIO
750 W HIGH STREET SUITE 100LIMAOH45801061644264DIALYSIS CENTEROHNAN/A
ST ELIZABETH CARDIAC CATH LAB LLC
1044 BELMONT AVEYOUNGSTOWNOH44501300023795CARDIAC CATH LABOHNAN/A
ST ELIZABETH SOUTHWOODS IMAGING
250 DEBARTOLO PLACE BLDG BYOUNGSTOWNOH44512261626482DIAGNOSTIC IMAGINGOHNAN/A
UROLOGIC ONCOLOGY OF MAHONING VALLEY LLC
1044 BELMONT AVEYOUNGSTOWNOH44501262989686RADIATION THERAPYOHNAN/A
HMHPUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600ADDISONTX75001271953122SURGERY CENTERTXNAN/A
OSC-HMHP LLC
6505 MARKET ST BLDG B STE 101BOARDMANOH44512010724836ORTHOPEDIC SURGERY CENTEROHNAN/A
LOURDES AMBULATORY SURGERY CENTER
225 MEDICAL CENTER DRIVEPADUCAHKY42003611258960SURGERY CENTERKYNAN/A
EAST TENNESSEE DIAGNOSTIC CENTER LLC
1450 DOWELL SPRINGS BLVD SUITE 250KNOXVILLETN37909204773300DIAGNOSTIC SERVICESTNNAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal Domicile StateLegalDomicileState
CHP INSURANCE LTD
615 ELSINORE PLACECINCINNATIOH45202980621978INSURANCECJNAC CORPORATION
SISTERS OF MERCY WORKERS COMPENSATION SELF-INSURANCE TRUST
615 ELSINORE PLACECINCINNATIOH45202310990309WORKERS COMPENSATION TRUSTNATRUSTMA
MHSWO HEALTH VENTURES INC
1 S LIMESTONE STSPRINGFIELDOH45502311072139PHYSICIAN PRACTICESNAC CORPORATIONOH
NORTHPARKE MEDICAL COMMONS CONDO ASSN
333 N LIMESTONE STSPRINGFIELDOH45503311391230REAL PROPERTY MGMNTNAC CORPORATIONOH
MERCY HEALTH AFFILIATES INC
2200 JEFFERSON AVENUETOLEDOOH43604341372633PHYSICIAN SERVICESNAC CORPORATIONOH
PHYSICIAN'S HEALTH COLLABORATIVE
2200 JEFFERSON AVENUETOLEDOOH43604203986844MEDICAL & HOSPITAL SERVICESNAC CORPORATIONOH
NORTHSIDE CORPORATION
2200 JEFFERSON AVENUETOLEDOOH43604341318438RESIDENT RENTALSNAC CORPORATIONOH
MERCY WORK SOLUTIONS
2200 JEFFERSON AVENUETOLEDOOH43604300066340WORKERS COMPENSATIONNAC CORPORATIONOH
MERCY HEALTH SYSTEM PHO
2200 JEFFERSON AVENUETOLEDOOH43604341778321MEDICAL SERVICESNAC CORPORATIONOH
PHYSICIAN MANAGED CARE INC
2200 JEFFERSON AVENUETOLEDOOH43604341565320HEALTH SERVICESNAC CORPORATIONOH
MCAULEY MANAGEMENT SERVICES INC
730 W MARKET STREETLIMAOH45801341379037PROPERTY RENTALNAC CORPORATIONOH
LIMA MEDICAL SUPPLIES INC
730 W MARKET STREETLIMAOH45801340944477MEDICAL EQUIPMENTNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
3700 KOLBE ROADLORAINOH44053341455525HOLDING COMPANYNAC CORPORATIONOH
COMMUNITY HEALTH PARTNERS PHYSICIANS INC
3700 KOLBE ROADLORAINOH44053341803352PHYSICIAN PRACTICESNAC CORPORATIONOH
AMC PHYSICIANS INC
200 W LORAIN STREETOBERLINOH44074371439554PHYSICIAN SERVICESNAC CORPORATIONOH
MERCY HEALTH VENTURES INC
4600 MCAULEY PLACECINCINNATIOH45242311185477DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES
4600 MCAULEY PLACECINCINNATIOH45242311640789DIVERSIFIED ACTIVITIESNAC CORPORATIONOH
MERCY FRANCISCAN AT WINTON WOODS I INC
10290 MILL ROADCINCINNATIOH45231311658668LOW-INCOME HOUSINGNAC CORPORATIONOH
MERCY HEALTH MANAGEMENT INC
1530 LONE OAK ROADPADUCAHKY42003611086762MEDICAL OFFICESNAC CORPORATIONKY
HEALTH DYNAMICS INC
900 E OAK HILL AVENUEKNOXVILLETN37917621247729MEDICAL EQUIPMENT SALESNAC CORPORATIONTN
HEALTH VENTURES INC & SUBSIDIARIES
P O BOX 1788KNOXVILLETN37901621175587MEDICAL SERVICESNAC CORPORATIONTN
ANNE KILCAWLEY CHRISTMAN FOUNDATION
100 FEDERAL PLAZA EASTYOUNGSTOWNOH44503356735706BENEFICIAL TRUSTNATRUSTOH
RALPH EWE TRUST
270 PARK AVENUENEW YORKNY10017346866422BENEFICIAL TRUSTNATRUSTNY
ELIZABETH HINES CATES TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515678BENEFICIAL TRUSTNATRUSTOH
WILLIS PARK TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346519904BENEFICIAL TRUSTNATRUSTOH
ERMA GIBSON BALDWIN TRUST
PNC 1900 E 9TH STCLEVELANDOH44114346515566BENEFICIAL TRUSTNATRUSTOH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg